| NPI | 1578057543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2022-00547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071817) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-04-23 |